Organization Active NPI

Arkansas Behavioral Health Center, Inc

  • Psychiatry Physician
  • Little Rock, AR
National Provider Identifier
1750965331
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ARKANSAS BEHAVIORAL HEALTH CENTER, INC
Practice address
904 Autumn Rd Ste 425
Little Rock, AR 72211-3702
Phone
(501) 261-7611
Fax
(501) 747-1302
NPI assigned
May 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amy Hardin
Title
Office Manager
Phone
(501) 615-8988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

904 Autumn Rd Ste 425
Little Rock, AR 72211-3702

Mailing address

904 Autumn Rd Ste 425
Little Rock, AR 72211-3702
Phone (501) 261-7611

National Provider Directory

National Provider Directory

Locations

904 Autumn Rd
Ste 425
Little Rock, AR 72211
Phone (501) 261-7611

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1750965331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 AUTUMN RD STE 425",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113702",
            "telephone_number": "501-261-7611",
            "fax_number": "501-615-8982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 AUTUMN RD STE 425",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113702",
            "telephone_number": "501-261-7611",
            "fax_number": "501-747-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS BEHAVIORAL HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "HARDIN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "501-615-8988"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.